Ondansetron injection at Atrium Health Floyd Polk Medical Center. CPT J2405.
What Atrium Health Floyd Polk Medical Center publishes for this service, straight from its standard-charges file, last updated November 19, 2025.
Outpatient / ER
$22.63cash price (self-pay)
$45.45list price
$0.10–$199range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Peach State Health Plan | Managed Medicaid | $0.10 |
| Amerigroup | Managed Medicaid | $6.18 |
| CareSource | Managed Medicaid | $6.24 |
| Oscar Health Plan | Commercial | $8.86 |
| AWC Networks | Commercial | $8.87 |
| Aetna | Medicare Advantage | $9.09 |
| Humana | Medicare Advantage | $9.09 |
| CareSource | Medicare Advantage | $9.09 |
| Georgia Assurance | Medicare Advantage | $9.09 |
| Anthem | Medicare Advantage | $9.09 |
| Cigna | Medicare Advantage | $9.09 |
| Wellcare | Medicare Advantage | $9.09 |
| United Healthcare | Medicare Advantage | $9.09 |
| Alliant Health Plans | SoloCare Commercial | $11.36 |
| Clover | Medicare Advantage | $11.82 |
| CareSource | Marketplace Exchange | $13.64 |
| Ambetter | Marketplace Exchange | $13.64 |
| Alliant Health Plans | Simplecare Commercial | $18.18 |
| Anthem | HMO/Pathway X | $22.73 |
| Anthem | PPO | $22.73 |
| Cigna | Floyd County and Rome City Commercial | $24.09 |
| Cigna | Commercial | $27.27 |
| Cigna | Local Plus Commercial | $27.27 |
| Aetna | Commercial | $29.09 |
| Humana ChoiceCare | Commercial | $29.54 |
| Aetna First Health | Commercial | $30.91 |
| Multiplan | Commercial | $31.82 |
| Anthem | Indemnity | $33.95 |
| United Healthcare | Commercial | $34.09 |
| Private Health Care Systems | Commercial | $38.63 |
Inpatient
$22.63cash price (self-pay)
$45.45list price
$15.84–$199range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar Health Plan | Commercial | $15.91 |
| Alliant Health Plans | Simplecare Commercial | $18.18 |
| Cigna | Floyd County and Rome City Commercial | $24.09 |
| Cigna | Commercial | $27.27 |
| Cigna | Local Plus Commercial | $27.27 |
| Multiplan | Commercial | $31.82 |
| Anthem | Indemnity | $33.95 |
| Beech Street | Commercial | $40.91 |
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All common services at Atrium Health Floyd Polk Medical Center